Wohl R E, Kane W M
Dept. of Health, Physical Education, and Exercise Science, Washburn University, Topeka, KS 66621, USA.
J Sch Health. 1997 Mar;67(3):106-11. doi: 10.1111/j.1746-1561.1997.tb03424.x.
This study compared high school health teachers' beliefs concerning teaching about testicular cancer (TC) and testicular self-examination (TSE) to actual instruction. The Teachers' Testicular Cancer Beliefs Survey was developed, using the Health Belief Model (HBM) as a theoretical framework. Multiple regression analysis of HBM subscales determined perceived seriousness of TC was the most significant predictor (p < .05) of TC instruction. Perceived barriers to teaching about TSE was the most significant predictor (p < .05) of TSE instruction. Male health educators were more likely (p < .001) than females to teach about TC and TSE. Teachers having previous preparation in TC and TSE provided more instruction (p < .001) than those without. Less than half of respondents provided TC instruction, while TSE instruction was provided by less than one-third. Comprehensive cancer prevention and early detection education, including strategies for teaching about TC and TSE, should be part of each health teacher's training.
本研究比较了高中健康教师关于睾丸癌（TC）教学和睾丸自我检查（TSE）的信念与实际教学情况。以健康信念模型（HBM）为理论框架，开发了教师睾丸癌信念调查问卷。对HBM分量表进行的多元回归分析表明，对TC严重性的认知是TC教学最显著的预测因素（p <.05）。对TSE教学障碍的认知是TSE教学最显著的预测因素（p <.05）。男性健康教育工作者比女性更有可能（p <.001）讲授TC和TSE。以前接受过TC和TSE培训的教师比未接受过培训的教师提供的教学更多（p <.001）。不到一半的受访者提供了TC教学，而提供TSE教学的不到三分之一。全面的癌症预防和早期检测教育，包括关于TC和TSE教学的策略，应成为每位健康教师培训的一部分。
